Transcript Highlights:

• There are clinical guidelines, most by, you know, standards, the AMA that all medical directors are following

Transcript Highlights:

• Recent AMA studies say that there has been no increased adolescent cannabis use in states with recreational
• two not be used by anyone under 21 two not be used by anyone under 21 two recent<01:37:26.880> AMA
• 27.880> say<01:37:28.239> that<01:37:28.360> there<01:37:28.520> has recent AMA
• studies say that there has recent AMA studies say that there has been<01:37:28.880> no<01:37:

Keywords: 910, house, all

Summary: The House Committees on Judiciary and Hawaiian Affairs and Agriculture and Food Systems heard testimony and began decision-making on HB 1246, which would establish the Hawaii Cannabis and Hemp Office within DCCA to regulate cannabis. Chair Tarnas described the bill as divisive and noted the hearing had received 95 testimonies in support, 135 in opposition, and 11 comments. Members were told the office would be administratively attached to DCCA, and the department emphasized it would not direct day-to-day operations. DCCA also raised concerns about banking access due to federal law, while the Department of Agriculture supported a one-plant, one-agency approach and noted its current authority over cannabis plant importation and movement. Several agencies and advocates supported the bill with cautions or requested amendments. The Department of Health said it appreciated the bill’s public health protections but remained concerned about increased adult-use access, youth mental health, pregnancy-related risks, and effects on developing brains; it requested a 12-month delayed effective date. The Attorney General’s office said legalization should include safeguards, recommended a longer implementation timeline and seed funding, and flagged issues in the bill involving impaired driving, open-container language, and penalties for under-21 possession. The Office of the Public Defender supported the bill but objected to new driving and possession offenses, saying existing law already covers impaired driving. Doctors for Drug Policy Reform supported the measure, citing regulation of intoxicating cannabinoids, testing, childproof packaging, and public education as public-health benefits. Opponents focused on youth access, public safety, and the bill’s broader social effects. The Honolulu Police Department opposed the bill over access and diversion concerns, and the City and County of Honolulu Prosecutor strongly opposed legalization, citing higher-potency cannabis, youth harms, psychiatric risks, and increased poison-center calls. The Hawaiʻi Substance Abuse Coalition argued legalization should wait until prevention programs are in place and funded first, while the Hawaiʻi Family Forum and Hawaiian Republican Women also opposed the measure, citing concerns about youth exposure, added bureaucracy, and taxpayer costs. The Tax Foundation of Hawaiʻi questioned the purpose of the proposed cannabis taxes, asking why cannabis should be taxed heavily if legalization is intended. The hearing continued with additional testimony after a brief audio issue for one testifier.

Transcript Highlights:

• pediatric and public health organization, including the American Pediatric Society, the CDC, and the AMA
• . ...Society and the CDC and the AMA.

Keywords: 995, all

Summary: The committee opened a public hearing on 41 bills related to school climate and safety, with chairs Jason Lewis and Ken Gordon outlining procedures and noting more than 125 witnesses. The first major topic was the “Study Act” on cell phones in schools and related social media restrictions (House 666/Senate 335). Secretary of Education Pat Tutwiler and Attorney General Andrea Campbell testified in strong support, arguing that bell-to-bell phone-free policies would improve student focus, reduce anxiety and distraction, and support mental health. Several legislators also supported the approach, though Representative Jeff Turco and Senator John Keenan emphasized narrower bills focused only on school-day phone restrictions rather than broader social media regulation. Senator John Velis likewise backed a comprehensive school-hours restriction, citing student distraction and mental health concerns. Representative Tarsky described successful implementation of a Yondr pouch system in a school where he served as principal, saying it improved engagement and reduced bullying and discipline issues. The committee then heard testimony on a bill to prohibit Native American mascots in public schools (Senate 312/House 575). Senator Joe Comerford, Brittany Wally, and Rhonda Anderson all urged passage, saying Native mascots are dehumanizing, harmful to Native youth, and inconsistent with civil rights and educational values. They described support from tribal nations and noted that many Massachusetts schools have already changed mascots, but some still resist. The hearing also included testimony on school start times (House 647/Senate 360), where middle school students Caroline Duffy and Emery Jarvis described exhaustion and survey data showing widespread sleep deprivation. Former educator Telia Jacobs, former principal Rep. Tarsky, and others argued that later start times would improve health, learning, and student well-being, while acknowledging transportation and scheduling challenges. Zoriana Petrosian, who helped write one of the bills as a student, said the state already has enough research to act now. Additional bills drew testimony on related school issues. Dr. Raul Fernandez supported a bill promoting racially integrated schools (Senate 324), citing a recent advisory council report showing large disparities in segregated schools and urging DESE to develop a statewide integration strategy. On safe firearm storage education (House 548/Senate 397), multiple witnesses from Grassroots for Gun Violence Prevention and school communities supported annual school-based education about secure storage, saying it would help prevent child access to unsecured firearms and build on local resolutions already adopted in some districts. The committee also heard testimony on bills to expand career and academic plans (House 533/Senate 438), with speakers saying more structured planning would help students make informed college and career choices. Later, testimony on child sexual abuse prevention and survivor support bills described the prevalence of abuse, the need for training in schools and youth-serving organizations, and the importance of extending compensation and prevention measures. Throughout the hearing, chairs repeatedly closed bills with no witnesses and moved the agenda forward, but no votes were taken in the portion of the transcript provided.

Transcript Highlights:

• and we think there's a way, we're trying to partner together with some of the national organizations, AMA

Keywords: 995, all

Summary: The Joint Committee on Public Safety and Homeland Security heard testimony on several bills, with strong support expressed for a proposed municipal and public safety building authority (H. 2571/S. 1650). Municipal officials, fire chiefs, the Massachusetts Municipal Association, regional planning leaders, and Senator Comerford described aging town halls, fire stations, DPW facilities, and other local buildings, especially in small towns and gateway cities, and argued that local budgets and Proposition 2 1/2 make major capital projects difficult to fund. Testimony emphasized the need for a dedicated revenue stream, with the bill proposing a share of marijuana excise tax revenue and a rural funding set-aside. Committee members asked about prioritization and funding levels, and witnesses said even a modest start would help address a large statewide backlog. No votes were taken during the hearing, and the committee later adjourned unanimously. The committee also heard testimony on H. 2689, requiring fuel gas alarms/detectors in residential dwellings using explosive gases. Representative Jeff Roy, Susan Brown, Jason Cohn, and representatives from NEMA and Kidde supported the bill, describing it as a life-saving measure similar to carbon monoxide detector requirements. Witnesses cited the 2015 Franklin propane explosion that killed Nancy and Robert Brown, the Merrimack Valley gas explosions, and national fire data showing fatalities and property damage from gas leaks. They said detectors are affordable, commercially available, and should be required where gas is used; one witness noted battery-backed or battery-operated options exist. Committee questions focused on cost, battery power, outdoor propane setups, and whether the bill would cover private databases or only residential safety devices. Another major topic was S. 1755 on missing and abducted children. Senator Pavel Payano testified in favor, citing the case of Lee Manuel Villoria Paolino and arguing that misclassification of missing children as runaways can delay urgent response and worsen outcomes, especially for Black and brown youth. He said the bill would set minimum law enforcement response standards, require training, and expand multilingual intake forms. The committee also heard support for expanding the state DNA database through familial DNA searching, with Dr. Amory Myers explaining that the technology could help solve long-unsolved cases while including guardrails to prevent use of private consumer DNA databases. Finally, the committee heard extensive testimony on H. 2740, “Colby’s Law,” establishing safety standards for BMX and motocross tracks. Colby Lippincott’s family, community members, and industry representatives described his fatal crash and urged requirements for medical staff, insurance, inspections, warning systems, barriers, and access roads. Witnesses said the bill would not end the sport but would create basic protections, and the committee heard that Massachusetts would join a number of other states with similar standards. The hearing ended with a motion to adjourn, which passed unanimously.

Transcript Highlights:

• and Senator, we, with assistance from others and other allied health professionals, as well as the AMA

Bills: SB20, SB111, SB211, SB218, SB14

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• use the definitely the says the transformation that we're proud that we watch every single five-time AMA

Transcript Highlights:

• job, but there is a level of complexity that's coming into this practice area since the passage of AMA

Transcript Highlights:

• Hussein place as representative Hussein place as representative Hussein described<01:04:35.160> AMA
• > place<01:04:35.960> has<01:04:36.119> been<01:04:36.319> an described AMA
• place has been an described AMA place has been an important<01:04:37.119> part<01:04:38.119><

Keywords: 1183, house

Transcript Highlights:

• not looked at like whether they're<00:42:07.880> at<00:42:08.200> 100%<00:42:08.680> Ama
• > or<00:42:09.520> 140<00:42:09.920> or<00:42:10.160> what they're at 100% Ama
• or 140 or what they're at 100% Ama or 140 or what whatever<00:42:10.920> level<00:42:11.240><

Keywords: 910, house, all

Summary: The committee heard several energy and environmental bills. On HB 974, which would authorize state step-in agreements for certain power purchase agreements and create a trust fund/reserve mechanism, the Attorney General’s office raised concern that the state should not incur liability beyond the trust fund. The Division of Consumer Advocacy said it had comments but did not take a position, while the Public Utilities Commission, Ameresco, Hawaiian Electric, and other industry groups supported the measure, saying it would help developers secure financing for renewable projects and improve reliability. Hawaiian Electric said the bill would not use state funds and that its proposed reserve account would be held in trust and returned to customers if unused. Committee members questioned whether the reserve would raise customer costs; Hawaiian Electric said the amount would be small and would be offset by avoiding higher financing costs, while Consumer Advocacy suggested the language should be strengthened to ensure unused funds are fully returned. The committee then heard HB 338, which would clarify that premium interest-rate adjustments for non-fossil fuel generation are just and reasonable and allow the PUC to include them in rates. DCCA and the State Energy Office supported the bill, and the PUC also supported it. Hawaiian Electric opposed unless amended, arguing the PUC already has discretion and warning the bill could weaken competitive procurement by encouraging higher bids tied to the utility’s credit rating. DCCA said the concern was that developers might not seek the best financing if premium rates are recoverable, but said Hawaiian Electric’s suggested amendment requiring clear and convincing evidence of unavoidable financing-cost increases would help. Members also asked about refinancing and whether developers could later lower debt costs after locking in a premium rate; DCCA said that ability exists and suggested a time limit or review mechanism. For HB 337, which would direct the PUC to establish standards requiring utilities to remove certain fossil-fuel costs from the rate base when adding renewable resources, the Department of Hawaiian Home Lands, Hawaii Clean Power Alliance, and the State Energy Office supported the measure. Hawaiian Electric opposed it, saying it misunderstood utility cost recovery and could threaten grid reliability because fossil plants provide ancillary services such as voltage regulation and balancing, not just energy. Hawaiian Electric pointed to its integrated grid plan and recent fossil-unit retirements as evidence of ongoing transition, and asked the committee to defer the bill and leave oversight to the PUC. The committee also heard HB 879 on cesspool conversions, which would raise the maximum grant from $20,000 to $30,000 and add DOH positions; DHHL, DOH, environmental groups, Hawaii Realtors, and others supported it, while DOH discussed staffing needs and the practical effect of the higher grant cap. The committee also began HB 379 on requiring denitrification capacity for certain wastewater systems near shorelines or groundwater, with DLNR testifying in support.

Transcript Highlights:

• And we're left with trying to kind of bring pieces and parts together from national data, from the AMA
• The AMA has a workforce mapper that anybody can go on.
• <01:02:31.760> The<01:02:31.920> AMA<01:02:32.240> has<01:02:32.440> a
• The AMA has a workforce mapper in 2021.
• The AMA has a workforce mapper that<01:02:33.760> anybody<01:02:34.120> can<01:02:34.240

Keywords: 916, all

Transcript Highlights:

• the evidence for surgery in minors insufficient and says that in the absence of clear evidence, the AMA
• the evidence for surgery in minors insufficient and says that in the absence of clear evidence, the AMA
• of clear and says that in the absence of clear evidence,<00:41:20.480> the<00:41:20.640> AMA
• agrees<00:41:21.520> with<00:41:21.680> the<00:41:21.920> ASPS evidence, the AMA
• agrees with the ASPS evidence, the AMA agrees with the ASPS that<00:41:23.359> surgical<00:41

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard testimony on HB 1875, which would expand Hawaii’s existing protections to include gender-affirming health care, clarify permitted disclosures of protected health information, and bar certain adverse actions by malpractice insurers and health carriers against providers of lawful reproductive or gender-affirming care. The Insurance Division of DCCA supported the bill with a technical amendment, suggesting language tied to actuarial analysis rather than the phrase “actuarially sound.” The Office of Information Practices also provided comments. Most testimony was strongly in support. State agencies and advocacy groups, including the Hawaii State Youth Commission, State Health Planning and Development Agency, Commission on the Status of Women, Hawaii Civil Rights Commission, Hawaii Public Health Institute, Stonewall Caucus, ACLU of Hawaii, PFLAG Oahu, Planned Parenthood Alliance Advocates, the Healthcare Association of Hawaii, and the American College of Obstetricians and Gynecologists, said the bill would protect patient privacy, reduce chilling effects from out-of-state litigation, and help retain providers in a state already facing shortages. Several testifiers said gender-affirming care is medically necessary, evidence-based, and life-saving, and emphasized that Hawaii should protect its own health care decisions from outside political pressure. A few individuals testified in opposition, arguing the bill was unnecessary or that it protected providers more than opponents of the bill, but these views were not echoed by most of the testimony. The chair repeatedly reminded testifiers to keep comments brief and maintain decorum. The transcript provided does not include a final committee vote or disposition on the bill.

Transcript Highlights:

• I also want to clarify that dry needling and acupuncture, trigger point acupuncture, use the same AMA
• The AMA provides one code for one procedure, so it is the same thing.

Keywords: 995, all

Summary: The hearing opened with the Senate and House chairs of the Joint Committee on Financial Services explaining that the day’s agenda would focus on health insurance and other insurance matters, with a large number of witnesses and a request for brief testimony. Legislators were taken out of order to accommodate their schedules, and the committee heard testimony on several bills, including coverage for hair prostheses for alopecia (H. 1223/S. 832), medically necessary oral and dental care for head and neck cancer survivors (H. 1258), modernizing fertility and family-building coverage (H. 715/H. 1190 and related bills), coverage for prosthetic devices to support physical activity for people with limb loss (the “So Everybody Can Move” bill), remediation coverage for home heating oil releases (S. 813/H. 1302), and expanded access to physical therapy for Ehlers-Danlos syndrome (H. 1170). A separate bill on sickle cell care and registry development (S. 788) was also discussed by Senator Liz Miranda. Witnesses largely offered personal stories and expert testimony in support of the bills. Advocates for alopecia coverage described the medical and emotional impact of hair loss, the high cost of quality wigs, and the argument that scalp and facial hair prostheses should be treated like other medically necessary prosthetics. Cancer survivors and supporters of H. 1258 said oral and dental care after head and neck cancer treatment is a quality-of-life issue and often not covered despite major out-of-pocket costs. Fertility specialists, LGBTQ+ advocates, and legislators supporting the modern family-building bills said the current infertility definition is outdated and discriminatory, excluding same-sex couples, people needing donors or gestational carriers, and others with medical barriers to conception. For the limb-loss bill, parents and adults with prosthetic needs stressed that activity-specific prostheses are essential for children and adults to run, swim, play sports, and stay healthy, but are often excluded from coverage. The home heating oil testimony focused on the financial devastation caused by residential oil spills and the need to make spill coverage automatic in homeowners policies. Environmental professionals and homeowners described cleanup costs ranging from tens of thousands to hundreds of thousands of dollars, the strict liability homeowners face, and the fact that many policyholders do not know the rider exists. The insurance industry testified in opposition to the mandatory-coverage approach, arguing for clearer distinctions between first- and third-party coverage, risk-mitigation standards, a delayed effective date, and more emphasis on education and notification rather than mandates. Committee members pressed the industry witness on why agents do not routinely tell customers about the rider and suggested that the issue may require broader disclosure by insurers, agents, and fuel dealers. No votes were taken during the hearing; the committee heard testimony and discussed possible compromise language and future action.

Transcript Highlights:

• According to the AMA, each physician supports about 17 jobs and creates $3.2 million in economic activity

Keywords: 996, all

Transcript Highlights:

• Uh, data sources such as the AMA master file, and they actually modeled down to the county level, but

Transcript Highlights:

• My name is Josie Amas and I am with the American Kidney Fund.

Transcript Highlights:

• And so the providers, the physicians, the nurse practitioners, the PAs spend, there's an AMA survey from
• 42.000> an practitioners, the PAs spend, there's an practitioners, the PAs spend, there's an AMA
• 19:43.760> after<00:19:44.000> this<00:19:44.240> bill<00:19:44.400> was AMA
• survey from 2024 after this bill was AMA survey from 2024 after this bill was introduced<00:19:45.360

Keywords: 1189, house, all

Transcript Highlights:

• According to the AMA, 80% of physicians cited their inability to negotiate higher payment rates with
• According to the AMA, 80% of physicians cited their inability to negotiate higher payment rates with
• According to the AMA, 80% of physicians cited their inability to negotiate higher payment rates with

Keywords: 1185, senate, all

Transcript Highlights:

• I counseled families who had to sneak in ivermectin milkshakes or take loved ones out AMA to save them
• I counseled families who had to sneak in Ivermectin milkshakes or take loved ones out AMA to save them
• from the hospital, to save him from the hospital, to treat Thank you. loved ones out AMA to save them

Bills: S0036, S0620, S0796, S0934, S1080, S1096, S1366, S1536, S1548, S1580, S1588, S1620, S1756, S7034, S7044

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, candidate qualifying, federal office, election integrity, regulatory compliance, political candidacy, veterinary medicine, telehealth, veterinary professional associate, animal health, public safety, access to veterinary services, payment bond exemption, Habitat for Humanity, Florida Forever Act, land acquisition

Summary: The committee first took up SB 354, the “Blue Ribbon Projects” bill, which creates a framework for large planned communities on at least 15,000 contiguous acres with 60% reserved area and a streamlined local review process. Senator McLean presented the bill and a strike-all amendment, and members raised concerns about local control, conservation enforceability, data centers, concurrency, multi-county projects, and whether reserve lands could later be converted. Audubon Florida and 1,000 Friends of Florida opposed the bill, arguing the conservation protections were not permanent enough and that the reserve areas could be changed later; small-county representatives also worried about tax-base impacts. Supporters argued the bill would better manage growth, preserve green space, and provide a more orderly alternative to sprawl. After debate, the committee voted to report the bill favorably. The committee then approved SB 620 on candidate qualifying, which requires candidates for federal, state, county, district, judiciary, school, and school board offices to disclose any non-U.S. citizenship. Amendments added disclosure about whether federal candidates intend to trade stock if elected and adjusted 2026 congressional qualifying procedures in the event of redistricting, including a new qualifying window and petition rules. The bill was reported favorably after brief support from a member of the public and discussion about candidate vetting. The committee also reported favorably CS/CS/CS/SB 1452, a Department of Financial Services bill with amendments addressing My Safe Florida Home notices, condo pilot eligibility, firefighter hiring, unclaimed property, and related financial-services provisions. Next, the committee approved CS/CS/SB 1620, a school board members’ bill of rights. A substitute amendment narrowed the bill to access to records, fiscal transparency, and nondisclosure agreements, while preserving board members’ rights to timely documents, budget information, and public comment, and setting deadlines for records requests. Superintendents and a school board member testified in support, saying the bill clarifies roles and prevents board members from being frozen out. The committee also passed CS/HB 245, which replaces the term “child pornography” with “child sexual abuse material”; one senator supported the terminology change but warned about preserving legal precedent and avoiding appellate issues. The committee then reported favorably SB 1548, an update to the Live Local affordable housing law expanding eligible sites and clarifying setbacks, airport proximity, and fair-housing protections. Finally, the committee took up the veterinary medicine bill creating veterinary professional associates. The bill allows trained master’s-level VPAs to perform limited veterinary services under a veterinarian’s supervision, and an amendment tightened the standard to immediate supervision on premises. Supporters said the measure would expand access to care, especially in rural areas with vet shortages, while opponents argued it added unnecessary regulation. After testimony from veterinary educators and others, the bill continued with support expressed by committee members, including praise for the direct-supervision amendment.

Transcript Highlights:

• We don’t need any more ACOG, AMA compartmentalized, linear, limited, standardized thinking, right?
• We don’t need any more ACOG, AMA compartmentalized, linear, limited, standardized thinking, right?
• We don’t need any more ACOG, AMA compartmentalized, linear, limited, standardized thinking, right?

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.

Transcript Highlights:

• The reference earlier was to the AMA.